What kind of people are contraindications for PCAs?
-cognitively impaired patients
-pt lacking ability to push button
-children under 5 yo
What are typical PCA medications?
-morphine
-hydromorphone
What are common reasons for modifying PCA orders?
-PCA history
-pain control
-level of sedation
Who typically manages a PCA?
anesthesiologist
What is a typical PACU pain goal?
<4/10
What is the most typical overall pain goal?
<2/10
What is a risk for someone other than pt pressing PCA button?
severe respiratory depression
How often should a pain assessment be performed for pt with PCA?
q 2 hrs
How much maintenance IV is required for PCA?
20-30 mLs per hr
What is a requirement for pt with PCA?
naloxone must be readily available
If pt with PCA is over sedated, what steps should be taken?
-stimulate patient
-then turn off PCA
-then consider naloxone
-call MD
What medications are utilized to manage PCA AEs of N/V and itching?
-antiemetics
-antihistamines
Who places an epidural catheter?
anesthesiologist
What is medication requirement for epidural?
preservative free
Who can administer epidural bolus?
only anesthesiologist
What must be assessed for epidurals?
-VS
-pain
-LOC
-LO sedation
-LO sensation (spinal dermatome/numbness/feeling)
-bowel/bladder function
-orthostatic hypotension
-system integrity
Can an RN remove epidurals?
-yes, with special training
-student not allowed
